by Proactive LTC Consulting | Jan 14, 2025 | 5-Star, Abuse, Antipsychotics/Psychotropics, Behavioral Health, CMS, Compliance, Falls, MDS, Nursing, PDPM, QA, Quality, Reimbursement, Therapy
Compliance Risk Assessment Considerations for the New Year As we enter 2025, nursing home providers face many regulatory and administrative challenges. January is a good time to conduct a compliance risk assessment that considers the updated nursing facility... by Proactive LTC Consulting | Jan 6, 2025 | Compliance, MDS, Reimbursement
Q: How long do we have to make corrections to an erroneously coded MDS assessment that has been submitted and accepted into IQIES? A: A correction can be submitted for any accepted record within 2 years of the target date of the record for facilities that are... by Proactive LTC Consulting | Dec 30, 2024 | MDS, Medical Review, Medicare, SNF
Q: How can I ensure that claims are accurate prior to billing? A: The key to accurate claims submission is an effective Triple Check or Clean Claim review process. The Triple Check process is an interdisciplinary self-audit that aims to reduce the risk of... by Proactive LTC Consulting | Dec 30, 2024 | 5-Star, ADL, Blog, COVID-19, Dietary, Falls, Infection Prevention, MDS, Nursing, Pressure Ulcers, Quality, RAI Manual, Regulatory, Survey
The Top 10 Nursing Home Citations of 2024: Insights and Prevention Strategies Understanding citation trends is critical to improving quality and compliance. By analyzing deficiency data, facilities can focus on priority areas of improvement to prepare for surveys and... by Proactive LTC Consulting | Dec 22, 2024 | Compliance, Falls, MDS, PDPM, Quality, Reimbursement
Q: Fall with major injury has triggered under my SNF QRP reports but no fall with major injury was coded on the 5-Day assessment or the PPS Discharge assessment that were submitted. Where did the information pull from? A: The SNF QRP measure for falls with... by Proactive LTC Consulting | Dec 11, 2024 | Activities, CAA, MDS
Q: How does the activities CAA influence care planning? A: The Activities Critical Assessment Area (CAA) triggers when the MDS identifies that an individual’s activity preferences or needs require further evaluation. This process ensures that the care plan is...